THE 50TH ANNIVERSARY SHE CREATURE PRINT

(Please Print)

Name__________________________________________________________________

Address________________________________________________________________

City____________________________________________________________________

State_________________________________Zip Code__________________________

E-mail Address__________________________(Optional)Phone___________________________ (Optional)

Please send me______copies of the limited edition 50th Anniversary She-Creature Print signed and numbered by the artist and co-signed by Bob Burns @ $35.00 each, plus $6.00 shipping and insurance for the first print, $1.50 for each additional print. For foreign orders please remit by money order payable in US funds.

New York State residents, please add NYS Sales Tax___________

Total Enclosed_________________________________________
(please remit by personal check or money order only made payable to Vincent Di Fate. Please allow four to six weeks for delivery)

Mail payment and order form to:
VINCENT DI FATE - ILLUSTRATOR
P. O. BOX 1771
WAPPINGERS FALLS, NEW YORK 12590-1771

Would you like to be notified of future offerings? Yes___ No___

Thank you for your order!